Krämer M, Höltermann W, Lukasewitz P, van Wickern M, Walthers E M, Lennartz H
Abteilung für Anästhesie und Intensivtherapie, Philipps-Universität, Marburg.
Pneumologie. 1994 Oct;48(10):765-8.
This is a report on a mucoviscidosis patient of 30 years of age suffering from refractory acute failure of pulmonary function during acute exacerbation of an infection with Pseudomonas aeruginosa. To avoid further barotraumatisation of the lungs due to continually increasing artificial respiratory pressure, and to set the lung at rest until subsidence of a concomitant severe bronchial obstruction, we performed modified extracorporal lung assist (ELA). The gas exchange improved rapidly with the help of relevant accompanying measures (including negative liquid balance, administration of antibiotics, etc.) and the pulmonary infection also subsided to a major extent. 26 days after the end of the bypass the patient could be transferred for lung transplantation.
这是一份关于一名30岁黏液黏稠病患者的报告，该患者在铜绿假单胞菌感染急性加重期出现难治性急性肺功能衰竭。为避免因人工呼吸压力持续增加而进一步造成肺气压伤，并使肺部得到休息直至伴随的严重支气管阻塞消退，我们实施了改良体外肺辅助（ELA）。在相关辅助措施（包括负液体平衡、使用抗生素等）的帮助下，气体交换迅速改善，肺部感染也在很大程度上得到缓解。体外循环结束26天后，患者可以转去进行肺移植。
